| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,391 |
6,785 |
$453K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,071 |
4,007 |
$352K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,264 |
1,262 |
$124K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
889 |
888 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,074 |
992 |
$35K |
| 93000 |
|
2,239 |
2,211 |
$19K |
| 90674 |
|
221 |
217 |
$6K |
| 90756 |
|
209 |
207 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
438 |
435 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
120 |
120 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
332 |
306 |
$3K |
| 99441 |
|
57 |
56 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 81002 |
|
695 |
676 |
$2K |
| 90661 |
|
59 |
59 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 82272 |
|
464 |
453 |
$616.46 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
289 |
264 |
$331.78 |
| 90686 |
|
13 |
13 |
$216.92 |
| 83014 |
|
80 |
80 |
$191.93 |
| 99173 |
|
2,579 |
2,562 |
$10.00 |
| 3078F |
|
13 |
13 |
$0.02 |
| 3074F |
|
12 |
12 |
$0.02 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
615 |
608 |
$0.00 |
| 4004F |
|
50 |
49 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
575 |
559 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
727 |
710 |
$0.00 |